Provider Demographics
NPI:1487910931
Name:SCURLOCK, JAYME (SLP)
Entity type:Individual
Prefix:
First Name:JAYME
Middle Name:
Last Name:SCURLOCK
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:JAYME
Other - Middle Name:
Other - Last Name:SCURLOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7829 VIENNA AVE
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35206-4924
Mailing Address - Country:US
Mailing Address - Phone:205-601-3940
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 1199
Practice Address - Street 2:
Practice Address - City:SHIPROCK
Practice Address - State:NM
Practice Address - Zip Code:87420-1199
Practice Address - Country:US
Practice Address - Phone:505-368-4984
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-10
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMSAH-2025-0132235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist